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Rec'd in Street <br />Mpl s. [] <br />Sub. _ <br />MUNICIPAL <br />MINNEGASCO PERMIT NO. _ <br />SERVICE INSTALLATION ORDER NO. <br />Map No. Old ❑New [:]Bldg. <br />Customer's Name <br />Installation Address _ <br />Legal Description: Lot No. _ Block No. T <br />E -NO. <br />Class <br />Tel. <br />Contr's Name <br />Contr's Address <br />Owner's Name _ <br />Owner's Address <br />Date Ordered Dote Wanted <br />Main Auth. No. Max. Demand <br />Add'I Ink. <br />Dote Completed <br />To the (City Engineer <br />Addition�J <br />Tel. <br />Tel. <br />Taken By <br />CF/Hr. Svc. Loc: A 0 B 0 C 0 <br />Foremon's Name <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneop s Gas Company hereby requests permission to perform <br />the work indicated )ove. <br />MINNEAPOLIS GAS COMPANY <br />( (Asst. Chief Engr.) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />of <br />r; <br />Date �.;:-a—*–=rte%; By <br />(Authorised Signature) <br />i«. !LI 1/67 <br />